MS. DEBORAH JEAN GODDARD


Address: 300 Health Park Blvd, St Augustine, FL 32086-3707
Phone: 9048194747

MS. DEBORAH JEAN GODDARD (NPI# 1770521874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770521874
Entity Type Individual
Full Name MS. DEBORAH JEAN GODDARD
Credential ARNP
Practice Address 300 Health Park Blvd
St Augustine
FL 32086-3707
Mailing Address 555 N Byron Butler Pkwy
Perry
FL 32347-2315
Practice Telephone 9048194747
Practice Fax Number 9048195080
Mailing Telephone 8502235400
Mailing Fax Number 8502235401
Enumeration Date 2006-06-02
Last Update Date 2014-01-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
ARNP 3353562 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 306983400 05

Other Providers DEBORAH GODDARD

NPI Name Taxonomy Address Enumeration
1255463733 Deborah Goddard Dermatology 340 Maple St, Suite 203, Marlborough, MA 01752-3200 2007-03-11
1740319797 Deborah D Goddard Social Worker 1203 Maple St, Greensboro, NC 27405-6910 2007-03-05

Office Location

Street Address 300 HEALTH PARK BLVD
City ST AUGUSTINE
State FL
Zip Code 32086-3707

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568464774 Derek D Muehrcke Thoracic Surgery (Cardiothoracic Vascular Surgery) 300 Health Park Blvd, Ste 5000, St Augustine, FL 32086-3705 2005-06-01
1366801052 Elizabeth Arnett Advanced Practice Midwife 300 Health Park Blvd, Suite 3002, St Augustine, FL 32086-3707 2016-02-23
1932521200 Kerry Hannifin Latka Nurse Practitioner 300 Health Park Blvd, Suite 4000, St Augustine, FL 32086-3707 2014-01-06
1083951024 Lorraine M Searle Advanced Practice Midwife 300 Health Park Blvd, Suite 3002, St Augustine, FL 32086-3707 2013-01-10
1467722025 First Coast Endocrinology, P.a. Internal Medicine 300 Health Park Blvd, Suite 3008, St Augustine, FL 32086-3707 2012-01-12
1194011908 Faisal Usman Internal Medicine 300 Health Park Blvd, Ste 4000, St Augustine, FL 32086-3707 2011-06-21
1336446525 Florida Woman Care LLC Obstetrics & Gynecology 300 Health Park Blvd, #3002, St Augustine, FL 32086-3703 2011-02-24
1588987747 Gerard M. Gerling M.d., P.a. Psychiatry & Neurology 300 Health Park Blvd, Suite 4002, St Augustine, FL 32086-3707 2010-03-02
1528206968 Michele Griffin Rogero Advanced Practice Midwife 300 Health Park Blvd, Suite 3002, St Augustine, FL 32086-3707 2009-01-22
1992967541 Elizabeth H Meadows Advanced Practice Midwife 300 Health Park Blvd, Suite 3002, St Augustine, FL 32086-3707 2008-06-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225670037 Ramonica Flagler Nurse Practitioner 3574 Us-1 South, St. Augustine, FL 32086 2019-10-14
1518522648 Marissa Marie Lynch Physician Assistant 100 Whetstone Pl Ste 102, St Augustine, FL 32086 2019-05-03
1346706991 Castillo Transportation Non-emergency Medical Transport (VAN) 295 North Hidden Tree Dr, Saint Augustine, FL 32086 2019-02-19
1790255842 Michelle Moore In Home Supportive Care 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 2018-12-03
1649740200 Paul James Lietz IIi Physical Therapist One Orthopedic Place, Saint Augustine, FL 32086 2018-11-27
1548764707 Oceanside Endodontics Od St. Augustine Dentist 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 2018-03-22
1023538329 Joseph R Edwards Physical Therapist 968 Espinado Avenue, St Augustine, FL 32086 2017-06-27
1235662032 Jennifer L Csenge Dentist 4327 Us Highway 1 S, St Augustine, FL 32086 2017-04-07
1336683663 Lisa Brice Social Worker 248 Southpark Circle East, Saint Augustine, FL 32086 2016-12-06
1558813303 Bio-medical Applications of Florida, Inc. Clinic/Center 65 Whitehall Drive, Saint Augustine, FL 32086 2016-10-27
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356948871 Rachel Annette Tax Nurse Practitioner 325 Sunset Dr, St Augustine, FL 32080-9101 2020-10-07
1386260354 Kristina Marie Hanlon Nurse Practitioner 119 Old Field Ln, St Augustine, FL 32092-1928 2020-06-24
1356977888 Carol Christine Sickels Nurse Practitioner 206 Circle Dr E, St Augustine, FL 32084-0868 2020-03-16
1518501832 Amanda Allen Nurse Practitioner 6936 Cypress Spring Ct, St Augustine, FL 32086-4818 2019-10-30
1023576360 Folasade Sanusi Olushola Nurse Practitioner 2604 Torino Way, St Augustine, FL 32092-4784 2019-03-06
1326502600 Ashley Fisher Roussell Nurse Practitioner 2720 Us Highway 1 S Ste B, St Augustine, FL 32086-6371 2019-01-30
1336658103 Nena Sheryl Morden Nurse Practitioner 100 Whetstone Pl Ste 205, St Augustine, FL 32086-5775 2017-09-25
1245770742 Linda Gillis Nurse Practitioner 143 Portada Dr, St Augustine, FL 32095-1634 2017-03-02
1457779316 Candace Smith Nurse Practitioner 2513 Otter Totem Ct, St Augustine, FL 32092-2445 2014-03-28
1720328321 Sharon Lynn Steinmetz Nurse Practitioner 6170 A1a S Unit 304, St Augustine, FL 32080-7537 2013-02-20
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Competitor

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City ST AUGUSTINE
Zip Code 32086

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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